Kenneth Ramirez

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

457001 Issued in PA

Practice address

1411 Prospect St
Tobyhanna, PA 18466-7779

Phone

(570) 534-5439

NPI assigned

Feb 4, 2014

Last updated

Apr 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• We Have a Choice Recovery House for Men LLC

  • Addiction (Substance Use Disorder) Counselor
  • Tobyhanna, PA
  • NPI 1164154811
  NPD Authorized official
• Catholic Charities of the Diocese of Rockville Centre

  • Community/Behavioral Health Agency
  • Hampton Bays, NY
  • NPI 1164555140
  NPD (past)
• Catholic Charities of the Diocese of Rockville Centre

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Freeport, NY
  • NPI 1831110972
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1881018315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 TITANIA RD",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668266",
            "telephone_number": "570-534-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 PROSPECT ST",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184667779",
            "telephone_number": "570-534-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "457001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OASAS CERTIFICATE",
            "identifier": "29512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pocono Podiatry Associates
• Taj Arnae Polen, CPR & AED, FIRST AID
• Karen Powell, CRNP
• Leslie D Prescott, LMT
• John Rafferty, CRNP
• Charlene C Reid, LPN
• Emily Elizabeth Reiser, RDN/LDN
• Renal Treatment Centers Northeast Inc (Mt Pocono Dialysis)
• Revolving Arms LLC
• Joy Naomi Richardson, MSW

• Addiction (Substance Use Disorder) Counselor in Tobyhanna, PA
• Providers in Tobyhanna, PA by specialty
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.